Atypical Posterior Reversible Encephalopathy Syndrome after Cervical
Facet Joint Steroid Injection

J Korean Neurol Assoc > Volume 32(4); 2014 > Article

Journal of the Korean Neurological Association 2014;32(4): 282-284.

경부후관절부 스테로이드 치료 후 발생한 비전형적 가역후뇌병증

정지연, 허 욱 김만영 추인성 김후원 김진호 안성환

조선대학교 의학전문대학원 신경과학교실

Atypical Posterior Reversible Encephalopathy Syndrome after Cervical Facet Joint Steroid Injection

Ji Yeon Chung

Department of Neurology, Chosun University School of Medicine, Gwangju, Korea

Abstract

Posterior reversible encephalopathy syndrome (PRES) is characterized by headache, altered mental function, seizures, and loss of vision predominantly affecting the bilateral parieto-occipital area. Most cases of PRES are associated with hypertension, or use of immunosuppressants or cytotoxic drugs; associated brainstem and cerebellar lesions are uncommon. We report herein a case of PRES that developed in a patient after injecting a steroid for cervical pain management. The presence of a territorial lesion along the vertebral artery on the same side as the pain-management procedure suggests an association between injectable steroid suspension and PRES. Key Words: Posterior leukoencephalopathy syndrome, Steroids, Pain management